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CDC in Nepal

The following global programs and activities recieved CDC funding in Fiscal Year 2009. These activities are funded through several mechanisms including direct Congressional appropriation, transfers from other United States Government agencies, and various international partnership.

Chronic Disease

IMMPaCt will help develop a distribution system for their Micronutrient powder (sprinkles) program that is linked with Nepal's infant and young child feeding program. IMMPaCt will also help create a monitoring system (new country project started Aug 2009).

Influenza

CDC contributes to the World Health Organization's Global Influenza Network, addresses US government strategy for preparedness, communication, surveillance, and response, and helps to build country capacity development for seasonal and pandemic influenza. In addition, CDC works with global governments and partners to identify and characterize circulating flu viruses and support early identification of novel influenza viruses such as avian influenza. For more information go to: http://www.cdc.gov/flu/.

Quarantine and Migration

Since 1996 CDC and the International Society of Travel Medicine (ISTM) have collaborated in GeoSentinel, an international network of travel/tropical medicine clinics that participate in surveillance and monitoring of all travel-related illnesses among their patients. The GeoSentinel network currently includes 41 participating clinic sites on 5 continents. Returning travelers seen at relatively few sentinel sites can provide data on diseases acquired in over 230 countries. Aggregation of these data across the network allows linking of final diagnoses in migrating populations with similar geographic exposures. In addition to the 41 full-performance sites, the GeoSentinel members program has more than 175 contributors on 6 continents. Members can alert the entire network about unusual cases they see, as well as receive alerts and queries relating to enhanced surveillance when necessary. For more information go to: http://www.cdc.gov/ncidod/dq/.

Refugee Health

The International Emergency and Refugee Health Branch (IERHB) is responsible for implementing and coordinating CDC s response to complex humanitarian emergencies, as requested by U.S. government and United Nations agencies and non-governmental organizations. CDC improves the health of populations affected by complex humanitarian emergencies such as war, famine, civil strife, disaster, genocide, drought and displacement. CDC has two technical teams: The Complex Humanitarian Emergency Team (CHET) focuses on diverse health issues related to refugees and other displaced populations and The War-related Injury Team (WIT) focuses on the public health impact of armed conflict on civilian populations. CDC has fielded several missions to the refugee camps in southern Nepal. Recent missions have included conducting a micronutrient malnutrition survey in these camps. For more information go to: http://www.cdc.gov/nceh/ierh/default.htm.

Vaccine Preventable Diseases (VPD)

In collaboration with the World Health Organization (WHO), , and the United Nations Children's Fund (UNICEF), CDC provides epidemiologic, laboratory, programmatic expertise, and funding support to help control vaccine preventable diseases. CDC currently seconds a medical epidemiologist to WHO/Nepal to assist the Ministry of Health in strengthening routine immunization, and controlling measles/rubella and polio. Additional technical assistance is directed to improving and expanding VPD surveillance and ensuring adequate outbreak response capacity. For more information go to: http://www.cdc.gov/vaccines/vpd-vac/default.htm.

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